<span style="font-family:'Times New Roman','serif';font-size:10pt;">Subdural hematomas are often life-threatening when acute but chronic subdural hematomas, however, have better prog</span><span style="font-family:'Times New Roman','serif';font-size:10pt;">nosis if properly managed. Chronic subdural hematomas are common in the elderly due to shrinkage of brain tissue,</span><span style="font-family:'Times New Roman','serif';font-size:10pt;"> </span><span style="font-family:'Times New Roman','serif';font-size:10pt;">but in young patient mostly associated with head injury. It is seen also in young having various coagulopathies associated with blood disorders or drug-induced,</span><span style="font-family:'Times New Roman','serif';font-size:10pt;"> </span><span style="font-family:'Times New Roman','serif';font-size:10pt;">but it is very rare. Propylthiouracil (PTU) is an oral medication that is used in treatment of hyperthyroidism approved by FDA in </span><span style="font-family:'Times New Roman','serif';font-size:10pt;">J</span><span style="font-family:'Times New Roman','serif';font-size:10pt;">uly 1947. This medication may rarely cause very serious blood disorders (such as a low number of red cells, white cells, and platelets), especially during the first few months of treatment.</span><span style="font-family:'Times New Roman','serif';font-size:10pt;"> </span><span style="font-family:'Times New Roman','serif';font-size:10pt;">We are reporting a rare case of</span><span style="font-family:'Times New Roman','serif';font-size:10pt;"> </span><span style="font-family:'Times New Roman','serif';font-size:10pt;">PTU-induced</span><span style="font-family:'Times New Roman','serif';font-size:10pt;"> </span><span style="font-family:'Times New Roman','serif';font-size:10pt;">thrombocytopenia leading to chronic subdural haematoma,</span><span style="font-family:'Times New Roman','serif';font-size:10pt;"> </span><span style="font-family:'Times New Roman','serif';font-size:10pt;">which presented with established papilledema and signs of raised ICP in a hyperthyroid female and she responded well to surgical management<b>.</b></span>
In this paper, we report a case of bilobed schwannoma, presented in the roof of orbit arising from supraorbital nerve. A 62-year male presented with a nontender mass in superior part of orbit and eccentric proptosis. Visual acuity and rest of ocular examination were normal. CT scan and MRI orbit revealed an extraconal homogenous bilobed mass, of size 3.5 to 2.5 cms in roof of orbit. Fine needle aspiration cytology was done, which was suggestive of schwannoma a peripheral nerve tumor. Successful surgical excision of intact bilobed schwannoma was done with careful separation and preservation of supraorbital nerve from which it was originated. Postoperative period was uneventful though rare, less than 1%, schwannoma can present as painless mass in the orbit and proptosis. Treatment of choice is surgical excision of intact tumor to prevent recurrence and preservation of peripheral nerve from which it arises.
Introduction: Amblyopia is defined as unilateral or bilateral dimness of vision caused by form vision deprivation and/or abnormal binocular interaction, is the most common cause of preventable monocular blindness and nearly all-amblyopic visual loss is reversible with timely detection and appropriate intervention. The conditions leading to functional amblyopia are well known and include strabismus, anisometropia, astigmatism, hypermetropia, cataract, and other forms of stimulus deprivation. Material & Method: The present hospital based cross sectional study has been carried out in Department of Ophthalmology at Acharya Vinoba Bhave Rural Hospital attached to Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, a constituent of Datta Meghe Institute of Medical Sciences (Deemed University), Nagpur during the period from September 2012 to August 2014. 100 eyes of 91 patients having Amblyopia or amblyogenic factor (strabismus or anisometropia) in outdoor and indoor patients were selected for the study.All patients were enrolled in the study after due consideration of various exclusion criteria for selection. Results: The mean age of the study population was 15.00 ± 5.74 years, range 6-30 year. The present study found amblyopia to be more common in males than females. All the patients included in this study had one of the diagnoses from strabismic amblyopia, anisometropic amblyopia, isometropic amblyopia and stimulus deprivation amblyopia. Out of these maximum number of eyes was found to have anisometropic amblyopia (37%) and strabismic amblyopia (36%). Maximum numbers of eyes were seen with0.9-1.0 visual acuity (in LogMAR units). It was found to be highly significant in almost all except between strabismic and stimulus deprivation amblyopia; and between anisometropic and isometropic amblyopia. The present study found colour vision to be normal in all the various types of amblyopia. Most eyes were found to have hyperopic astigmatism/hyperopia (56%) followed by myopic astigmatism/myopia (31%) while mixed astigmatism was least common (13%). Maximum numbers of eyes were seen with 0.00-0.15 contrast sensitivity. 43% had normal while 57% had abnormal stereopsis. Conclusion: Amblyopia and associated strabismus can have devastating psychosocial and economic fallouts. Knowledge about the sub-types of amblyopia is important because the clinical presentations, management and outcomes of these different types are different. The data in the present study could be used to enhance screening efforts in an organized manner in those health-care groups which come in regular contact with infants and young children.
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